Spinal Anesthesia in a Healthy Parturient Causing Suspected Bullous Pemphigoid Lesions: A Case Report

We present a case of suspected bullous pemphigoid lesions after spinal anesthesia in a previously healthy parturient presenting at term for an elective secondary cesarean section. On day 1 post-partum, pruritic red fluid-filled clustered bullae highly resembling those of bullous pemphigoid were noted around the spinal anesthesia injection site. Fusidic acid/betamethasone skin cream was prescribed by a dermatologist for twice-daily application. The bullae decreased in size gradually and became crusted 1 week post-partum with mild residual pruritus. At 6 weeks post-partum, the bullae completely disappeared without a scar. Checking the site of neuraxial blockade on the first day postoperatively allowed early detection of such unique skin lesions.